In 1997 a survey identified a general lack of standardisation of blood pressure (BP) measurement and little consensus on the criteria for diagnosing hypertension amongst paediatricians. We have conducted a new online survey in 2021, to compare clinical practice between the two time periods. A national quality improvement survey was approved by the GAPRUKI committee and then circulated to consultant-grade general paediatricians. 125 analysable replies from 34 different sites were received and compared with the 1997 data. 106 (84.8%) reported clinic nurse involvement in BP measurement, more than twice than reported previously (40.6%). Most paediatricians (53.6%) now rely on oscillometric devices, whereas the mercury sphygmomanometer was favoured previously (82.7%). If assessing BP manually (n = 89), most (79.8%) now use Korotkoff phase V as the auscultatory endpoint for diastolic BP (phase IV was previously used (52.1%)). Diagnostic criteria of hypertension, the criteria (≥95^th centile for gender, age and height) were constant, and 100% of paediatricians diagnosed it using systolic BP, but only 43 (34.4%) used diastolic BP, a decrease from 79.4% previously. Ambulatory BP Monitoring was six times more available than in 1997 (81.6% vs 13.6%). Similar to previous findings, only 12 (9.6%) paediatricians would manage hypertensive patients themselves, however 82 (72.6%) would keep general paediatric input. There have been important changes in the assessment of BP in children, including increased nurse involvement and greater use of technology. However, fewer paediatricians are responding to high diastolic pressures than twenty years ago.

1997 年的一项调查发现，儿科医生普遍缺乏血压 (BP) 测量标准化，并且对诊断高血压的标准也缺乏共识。我们在 2021 年进行了一项新的在线调查，以比较两个时期的临床实践。一项全国质量改进调查得到了 GAPRUKI 委员会的批准，然后分发给顾问级普通儿科医生。我们收到了来自 34 个不同地点的 125 份可分析的答复，并与 1997 年的数据进行了比较。106 名（84.8%）报告诊所护士参与血压测量，是之前报告（40.6%）的两倍多。大多数儿科医生（53.6%）现在依赖示波设备，而以前更喜欢水银血压计（82.7%）。如果手动评估血压（n = 89），大多数（79.8%）现在使用柯氏 V 相作为舒张压的听诊终点（之前使用 IV 相（52.1%））。高血压诊断标准，标准（^≥95性别、年龄和身高的百分位数）保持不变，100%的儿科医生使用收缩压来诊断，但只有 43 名（34.4%）使用舒张压，比之前的 79.4% 有所下降。动态血压监测的普及率是 1997 年的六倍（81.6% vs 13.6%）。与之前的调查结果类似，只有 12 名 (9.6%) 儿科医生会亲自管理高血压患者，但 82 名 (72.6%) 名儿科医生会保留一般儿科投入。儿童血压评估发生了重要变化，包括护士参与的增加和技术的更多使用。然而，与二十年前相比，对高舒张压做出反应的儿科医生越来越少。